361-664-2020

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Patient Forms

Because we know your time is valuable, please fill out these forms and bring them to the appointment with you. If you have any questions, fill out as much as you can and we will be happy to assist you when you arrive.

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Primary Correction


Patients Ocular History
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Family Ocular History
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Patient Medical History
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Family Medical History
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Social History

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Review of Systems

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  • “The best staff, the best hours, and the best customer service. I walked out of the office confident that I made the right choice. I will definitely refer them to anyone looking for an eye doctor.”

  • “If you’re looking for an eye doctor... look no further. Cloud Eye Associates in Alice, TX is all you can ask for and more. They are very accommodating on scheduling appointments. The staff is very friendly and knowledgeable, but the clincher for me was the doctor!”

  • “Convenient time appointment was set. Friendly & helpful staff. Dr very friendly, understanding & thorough. I would recommend to fellow co-workers, family and friends.”

  • “Very efficient and friendly office. I would recommend anyone to go there.”

559 Hwy 281 N | Alice, Texas | Directions | 361-664-2020